Basic Information – Change

This page appears if you selected Change to your address, phone number, or email on the Basic Information page. If no information has changed, click Previous to return to the Basic Information page and update your information.

 

Some items have an asterisk (*) next to them, indicating they are mandatory. You must fill in these items before you can continue to the next page.

 

Homeless

 

This section appears if you selected Change for your home or mailing address on the Basic Information page. If you recently became homeless, select the checkbox next to I am homeless right now.

 

Where You Live

 

This section appears if you selected Change for your home or mailing address on the Basic Information page. It allows you to update your current information of where you are living. This information is pre-populated but can be edited.

 

Mailing Address

 

This section appears if you selected Change for your home or mailing address on the Basic Information page. It allows you to update information regarding your current mailing address. This information is pre-populated but can be edited.

 

Contact Information

 

This section appears if you selected Change for your home, cell, other phone number or email on the Basic Information page. It allows you to update information regarding your current contact information. This information is pre-populated but can be edited.

 

Click the Print button to print this page for your reference.

 

Click the Next button to save and continue with the online Redetermination/Change Report/Simplified Report/LaCAP Re-Enrollment.

 

Click the Previous button to view the previous page.

 

Click the Save & Exit button to exit the online Redetermination/Change Report/Simplified Report/LaCAP Re-Enrollment and save your progress on your Redetermination/Change Report/Simplified Report/LaCAP Re-Enrollment. The Redetermination/Change Report/Simplified Report/LaCAP Re-Enrollment is saved as Incomplete.